Procedure
Confident (Can complete independently)
Mostly confident (Can complete with supervision)
Beginning (Have performed with supervision or need supervision to feel confident)
New (Have never performed or does not apply)
Cerumen Impaction Removal (irrigation and curette)
X
Fluorescein Staining
X
Corneal Foreign Body Removal
X
Wood’s Light Examination
X
Epistaxis management/nasal packing
X
Remove Foreign Body (ear, eye, nose, soft tissue, other)
X
EKG Lead Placement and Interpretation
X
Peak flow meter Measurements
X
Pulmonary Function Tests
X
Burn Treatment/dressing
X
Cryotherapy
X
Shave Biopsy
X
Punch Biopsy
X
Suturing
– Simple Interrupted Sutures and Suture Removal
X
Staple Placement
X
Skin Adhesive Placement
X
Toenail Avulsion
X
Incision and Drainage
X
Subungual Hematoma Evacuation
X
Skin Tag Removal
X
Wart destruction/removal
X
Wound Care
Wound Debridement
X
Steri Strip Application
X
Tick Removal
X
KOH skin slide for fungus
X
Hemorrhoid, excision of thrombus
X
Local/Field Block for Anesthesia
X
Digital Block for Anesthesia
X
Trigger Point Injection
X
Joint Injection
Splinting
X
Basic microscopy (yeast, BV)
X
Contraceptive Placement (Long term)
X
IUD Placement and Removal
X
Summary of strengths:
Based on the self-assessment, my strengths as a Family Nurse Practitioner (FNP) are in various clinical abilities and procedures where I have evaluated myself as confident or largely competent. These include EKG lead insertion and interpretation, peak flow meter readings, pulmonary function testing, cryotherapy, shave biopsy, punch biopsy, and basic microscopy. My ability to conduct these treatments alone or with little supervision shows my expertise and experience in regular diagnostic and therapeutic approaches needed for complete patient care. Simple interrupted sutures and suture removal, staple insertion, skin adhesive application, incision and drainage, and splinting demonstrate my ability to handle a range of clinical scenarios, including minor surgery and emergency care. This versatility allows me to handle patients holistically and efficiently in many clinical settings.
Opportunities for growth:
There are certain areas where I have seen opportunities for growth, notably in operations I have never done or require supervision to feel confident in. I want to learn subungual hematoma evacuation, skin tag removal, wart removal, and toenail avulsion. To create attainable goals, I will use the SMART technique. To gain experience and confidence, I want to execute three supervised subungual hematoma evacuations before quarter’s end. According to A. Mark Williams and Hodges (2023), hands-on practice is essential for mastering these skills effectively. Second, I will watch and help in skin tag removal at least five times before executing the surgery independently under supervision. Thirdly, I will look for opportunities to practice wart destruction/removal utilizing cryotherapy and topical treatments to become autonomous by the conclusion of the practicum. I will train and practice toenail avulsion using at least three independent procedures under an experienced physician. My objective is to strengthen my clinical skills to offer comprehensive treatment and improve patient outcomes in my future practice.
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
Goal 1: Master Subungual Hematoma Evacuation
Objective 1.1: Within a month of my practicum, I will observe at least three subungual hematoma evacuation procedures by experienced practitioners to learn about the technique and tools.
Objective 1.2: In the second month, I will perform two subungual hematoma evacuations under direct supervision ensuring that proper aseptic techniques are followed and pain is managed accordingly.
Objective 1.3: By the end of the internship, I will have completed at least three independently performed subungual hematoma evacuations that demonstrate mastery and confidence in this procedure..
Goal 2: Gain Proficiency in Skin Tag Removal
Objective 2.1: In the first two weeks, I am going to look through current best practices and guidelines for skin tag removal including cryotherapy, excision and electrosurgery among other methods.
Objective 2.2: At the end of two months, I will assist with at least three skin tag removals which should give me an opportunity for hands-on experience and feedback from supervising clinicians.
Objective 2.3: Before ending my practice period, I should independently do three skin tag removals to make sure that I am able to assess, select appropriate method of removal as well as post-procedure care management.
Goal 3: Develop Competence in Wart Destruction/Removal
Objective 3.1: In the first month, I will examine cryotherapy, salicylic acid, and laser wart removal methods to grasp their indications, advantages, and drawbacks. Objective 3.2: I will remove at least five warts under observation in the second and third months, emphasizing on patient education and follow-up care for complete therapy. Objective 3.3: By the completion of the practicum, I will autonomously handle at least eight wart removal cases, choosing and administering the best treatment technique for each patient.
Goal 4: Achieve Proficiency in Toenail Avulsion
Objective 4.1: I will attend toenail avulsion and post-procedural care courses or simulations in the first two weeks. Objective 4.2: By the conclusion of the second month, I will help in at least three toenail avulsion procedures, understanding the indications, method, and aftercare. Objective 4.3: I will autonomously conduct five toenail avulsions by the conclusion of the practicum, exhibiting patient preparation, procedure performance, and post-procedural care.
Reference
A. Mark Williams, & Hodges, N. J. (2023). Effective practice and instruction: A skill acquisition framework for excellence. Journal of Sports Sciences, 41(9), 1–17. https://doi.org/10.1080/02640414.2023.2240630
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The post PRAC 6541: FNP Clinical Procedures Self-Assessment Form first appeared on Nursing StudyMasters.